Metabolic syndrome among Jaffna Tamil community, Sri Lanka

Aim: The prevalence and associated risk factors of metabolic syndrome (MS) among adults over 18 years old in Jaffna district. Materials and Methods: It was community-based cross-sectional descriptive study. Multistage stratified cluster sampling technique was employed. An interviewer administered qu...

Full description

Bibliographic Details
Main Authors: Sivarathy Amarasinghe, Balakumar Sandrasegarampillai, Vasanthy Arasaratnam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2015;volume=19;issue=5;spage=663;epage=666;aulast=Amarasinghe
_version_ 1818410126997979136
author Sivarathy Amarasinghe
Balakumar Sandrasegarampillai
Vasanthy Arasaratnam
author_facet Sivarathy Amarasinghe
Balakumar Sandrasegarampillai
Vasanthy Arasaratnam
author_sort Sivarathy Amarasinghe
collection DOAJ
description Aim: The prevalence and associated risk factors of metabolic syndrome (MS) among adults over 18 years old in Jaffna district. Materials and Methods: It was community-based cross-sectional descriptive study. Multistage stratified cluster sampling technique was employed. An interviewer administered questionnaire was used to obtain the relevant information. Waist circumference (WC) and blood pressure (BP) measurements were recorded. Fasting plasma glucose (FPG), high-density lipoprotein (HDL), and triacylglycerols were analyzed by the enzymatic colorimetric assay using semi-automated analyzer (Teco Diagnostics TC-3300). International Diabetic Federation guideline for Asians was used to identify MS. Results: Sample response rate was 95.3% and of them, 43.8% (n = 224) was male. The prevalence of central obesity (WC for male ≥90 cm, female ≥80 cm) was 23.9%. Raised FPG (≥100 mg/dL, or previously diagnosed diabetes mellitus), hypertriacylglycerolemia (≥150 mg/dl), low level of HDL cholesterol (<40 mg/dL in males, <50 mg/dL in females), and raised BP (systolic BP ≥130 or diastolic BP ≥85 mmHg or previously diagnosed hypertension) were found in 23.9%, 25%, 79.3%, and 36.6% of the participants. The prevalence of MS was 15.8% (95% confidence interval [CI]: 12.8-19.3) and it was 17.4% in males and 14.6% in females. Participants living in the urban area had a higher prevalence of MS when compared with participants in a rural area (P = 0.015). Older age (P < 0.001) was a risk factor for development of MS. Smoking (P = 0.005) was a risk factor for the development of MS. Participants having sedentary, moderately active, and highly active lifestyle had the prevalence of MS 20.6% (95% CI: 13.2-29.7), 14.7% (95% CI: 10.6-19.5), and 14.7% (95% CI: 9.3-21.6), respectively (P = 0.247). Conclusion: Older age, urban living, and smoking carry a higher risk for development of MS among Jaffna Tamil community.
first_indexed 2024-12-14T10:10:34Z
format Article
id doaj.art-a23d9f9dc0c94b04a191d28e9b6e2ad0
institution Directory Open Access Journal
issn 2230-8210
2230-9500
language English
last_indexed 2024-12-14T10:10:34Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Endocrinology and Metabolism
spelling doaj.art-a23d9f9dc0c94b04a191d28e9b6e2ad02022-12-21T23:07:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002015-01-01195663666Metabolic syndrome among Jaffna Tamil community, Sri LankaSivarathy AmarasingheBalakumar SandrasegarampillaiVasanthy ArasaratnamAim: The prevalence and associated risk factors of metabolic syndrome (MS) among adults over 18 years old in Jaffna district. Materials and Methods: It was community-based cross-sectional descriptive study. Multistage stratified cluster sampling technique was employed. An interviewer administered questionnaire was used to obtain the relevant information. Waist circumference (WC) and blood pressure (BP) measurements were recorded. Fasting plasma glucose (FPG), high-density lipoprotein (HDL), and triacylglycerols were analyzed by the enzymatic colorimetric assay using semi-automated analyzer (Teco Diagnostics TC-3300). International Diabetic Federation guideline for Asians was used to identify MS. Results: Sample response rate was 95.3% and of them, 43.8% (n = 224) was male. The prevalence of central obesity (WC for male ≥90 cm, female ≥80 cm) was 23.9%. Raised FPG (≥100 mg/dL, or previously diagnosed diabetes mellitus), hypertriacylglycerolemia (≥150 mg/dl), low level of HDL cholesterol (<40 mg/dL in males, <50 mg/dL in females), and raised BP (systolic BP ≥130 or diastolic BP ≥85 mmHg or previously diagnosed hypertension) were found in 23.9%, 25%, 79.3%, and 36.6% of the participants. The prevalence of MS was 15.8% (95% confidence interval [CI]: 12.8-19.3) and it was 17.4% in males and 14.6% in females. Participants living in the urban area had a higher prevalence of MS when compared with participants in a rural area (P = 0.015). Older age (P < 0.001) was a risk factor for development of MS. Smoking (P = 0.005) was a risk factor for the development of MS. Participants having sedentary, moderately active, and highly active lifestyle had the prevalence of MS 20.6% (95% CI: 13.2-29.7), 14.7% (95% CI: 10.6-19.5), and 14.7% (95% CI: 9.3-21.6), respectively (P = 0.247). Conclusion: Older age, urban living, and smoking carry a higher risk for development of MS among Jaffna Tamil community.http://www.ijem.in/article.asp?issn=2230-8210;year=2015;volume=19;issue=5;spage=663;epage=666;aulast=AmarasingheCentral obesityfasting plasma glucosehigh-density lipoproteinhypertriacylglycerolemiaJaffnametabolic syndromeSri Lanka
spellingShingle Sivarathy Amarasinghe
Balakumar Sandrasegarampillai
Vasanthy Arasaratnam
Metabolic syndrome among Jaffna Tamil community, Sri Lanka
Indian Journal of Endocrinology and Metabolism
Central obesity
fasting plasma glucose
high-density lipoprotein
hypertriacylglycerolemia
Jaffna
metabolic syndrome
Sri Lanka
title Metabolic syndrome among Jaffna Tamil community, Sri Lanka
title_full Metabolic syndrome among Jaffna Tamil community, Sri Lanka
title_fullStr Metabolic syndrome among Jaffna Tamil community, Sri Lanka
title_full_unstemmed Metabolic syndrome among Jaffna Tamil community, Sri Lanka
title_short Metabolic syndrome among Jaffna Tamil community, Sri Lanka
title_sort metabolic syndrome among jaffna tamil community sri lanka
topic Central obesity
fasting plasma glucose
high-density lipoprotein
hypertriacylglycerolemia
Jaffna
metabolic syndrome
Sri Lanka
url http://www.ijem.in/article.asp?issn=2230-8210;year=2015;volume=19;issue=5;spage=663;epage=666;aulast=Amarasinghe
work_keys_str_mv AT sivarathyamarasinghe metabolicsyndromeamongjaffnatamilcommunitysrilanka
AT balakumarsandrasegarampillai metabolicsyndromeamongjaffnatamilcommunitysrilanka
AT vasanthyarasaratnam metabolicsyndromeamongjaffnatamilcommunitysrilanka